Consent Forms


Providers

  • I have no idea if this list is comprehensive

  • This list was derived from information from the medical staff office of CCRMC Providers privileged for Implanon insertion and removal and from direct communication from some providers. I do not know of any consistent way that these providers want patients scheduled into their clinics for this purpose. A couple gave some guidelines which are quoted below.

  • Unknown to me what location
  • Judy Bliss
  • Charles Berletti
  • Grace Cavallaro
  • Ogo Mbanugo
  • Edwin Carlson
  • Michele Tomasulo
  • Susan Feirabend
  • Tenki Tenduf-la
  • Mary Boegel
  • Brian Hertz
  • Lisa Keller
  • Jonathan Weiss

  • Antioch
  • Felicia Tornabene
  • Nancy Palmer -- use a double appointment, but she is worried about high no-show rate, so make sure patient really wants it. Need to know that Implanon is in stock. Tammy Ochoa can help order one to make sure it is in stock by patient's appointment
  • Kwan Chun

  • Brentwood
  • Michelle Holmes
  • Sara Levin
  • David Hearst -- suggests calling providers beforehand to make sure an Implanon is available
  • Erica Hansen

  • Concord
  • Gila Wildfire -- book long or double appointment, mention "Implanon" in EPIC, no need to contact her in advance

  • Martinez
  • Veda Bhatt
  • Eve Cominos
  • Pramita Kuruvilla
  • Dana Slauson

  • Pittsburg
  • Teresa Madrigal
  • Catherine Kissinger
  • Chris Farnitano
  • Alice Lin
  • Deborah Simon-Weisberg

  • Richmond
  • Tara Lehman
  • Patty Glatt
  • Howard Shaw
  • Jan Diamond
  • Alan Siegel
  • Hideto Saito